CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Bethesda Hospital East

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $370
Cash Discount Price: $1,167
vs. Medicare Baseline: 3.46x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Bethesda Hospital East is $370. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,167. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.46x the Medicare baseline. Located in 2815 S Seacrest Blvd, Boynton Beach, FL.

Cash / Self-Pay

$1,167

Average discount available for prompt cash payment at this facility.

Insurance Median

$370

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $1,167 (1093%)

Insurance Median: $370 (346%)

Cash: $1,167 (1093% of Medicare)

Ins. Median: $370 (346% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 346% of the Medicare baseline (a markup of 246%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Amerigroup	$69	65%
Medicaid / KanCare	$69 - $76	65%
Sunshine State	$69	65%
UnitedHealthcare	$69 - $1,796	65%
Wellcare	$69	65%
Aetna	$73 - $959	68%
Vista	$73	68%
Blue Cross Blue Shield	$109 - $529	102%
Leon Medical	$109	102%
Medica Health Plan	$109	102%
Medicare (plans)	$109 - $147	102%
Humana	$114	107%
Cigna	$115 - $361	108%
Avmed	$120 - $887	112%
Non Contracted	$659	617%
Amerihealth	$808	756%
Affordable	$1,167	1093%
International	$1,167	1093%
Dimension Health Plan	$1,616	1513%
Phcs	$1,616	1513%
Quality Health	$1,616	1513%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,167.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Bethesda Hospital East is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76705.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.